Timothy D Hanaway, MD | |
4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600 | |
(702) 653-2344 | |
Not Available |
Full Name | Timothy D Hanaway |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Location | 4700 Las Vegas Blvd N, Nellis Afb, Nevada |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093101586 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | A172707 (California) | Secondary |
207P00000X | Emergency Medicine | 036146238 (Illinois) | Primary |
Entity Name | Southern California Permanente Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770515280 PECOS PAC ID: 6002729175 Enrollment ID: O20031110000678 |
Mailing Address | Practice Location Address |
---|---|
Timothy D Hanaway, MD 4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600 Ph: (702) 653-2344 | Timothy D Hanaway, MD 4700 Las Vegas Blvd N, Nellis Afb, NV 89191-6600 Ph: (702) 653-2344 |
Edward Kempton, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 4700 Las Vegas Blvd N, Nellis Afb, NV 89191 Phone: 702-653-2273 | |
Dr. Kristin Leigh Silvia, M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 4700 Las Vegas Blvd N, Nellis Afb, NV 89191 Phone: 702-653-2313 Fax: 702-653-2111 | |
Dr. Stephen M Galvin, M.D. Emergency Medicine Medicare: Medicare Enrolled Practice Location: 4700 Las Vegas Blvd North, Nellis Afb, NV 89191 Phone: 702-653-2344 | |
Dr. Mark Thomas Bernardi, M.D. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4700 Las Vegas Blvd N, Nellis Afb, NV 89191 Phone: 702-653-3445 | |
Frederick P Griffith Iv, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 4700 Las Vegas Blvd N, Nellis Afb, NV 89191 Phone: 702-653-2344 | |
Matthew Figlewicz, DO Emergency Medicine Medicare: Medicare Enrolled Practice Location: 4700 Las Vegas Blvd N, Nellis Afb, NV 89191 Phone: 702-653-2273 |